KEVIN JOHNSON
Dependent on policy B01M000319
Claims
3
Attributed to this person
Charged
749.00
Total submitted
Denied
749.00
3 denied claims
Patient responsibility
0.00
Reported on the 835
Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.
Who this is
| Field | Value |
|---|---|
| Name | KEVIN JOHNSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000319 |
| Date of birth | 16 Mar 1961 |
| Plan | GOLD PPO |
| Covered from | 13 Oct 2024 |
| Covered to | 21 Mar 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001419 | 2 Apr 2025 | 347.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 347.00 |
| CLM0001418 | 5 Oct 2024 | 113.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 113.00 |
| CLM0001417 | 17 Sep 2024 | 289.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 289.00 |